Burkholderia pseudomallei: Liver Abscess in a Diabetic Patient from Western India
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 3
Abstract
In Indian subcontinent, liver abscesses are often caused by amoebic and gram-negative organisms. Burkholderia pseudomallei (B. pseudomallei) is an emerging pathogen in India. The spectrum of disease caused by B. pseudomallei is variable and liver abscesses are an infrequent presentation. We report a case of isolated liver abscess caused by B. pseudomallei in a 72-year-old diabetic male patient, who was referred from Goa. Patient was treated with pigtail drainage of abscess and injection ceftazidime was given during stay in hospital. Patient was discharged on co-trimoxazole and doxycycline. The repeated culture after prolonged therapy showed markedly reduced colonies with similar antibiotic pattern and patient was treated successfully. It is important that pus aspirates from liver abscesses are worked up for microbiological culture and prompt treatment is initiated in case of melioidosis which is an emerging infection in India.
Authors and Affiliations
Dhruv Kamlesh Mamtora, Anita Mathew Davis, Mohan Koppikar, Nikhil Cunha, Pallavi Bhalekar
Keywords
Related Articles
- EP ID EP502468
- DOI 10.7860/JCDR/2018/34839.11275
- Views 67
- Downloads 0
Outcome of Drug Resistant Severe Atrial Tachycardia During Pregnancy treated with Catheter Ablation
ABSTRACT A 24-year-old primigravid woman at 28 weeks of gestation was admitted to the hospital because of drug-refractory atrial tachycardia and heart failure. The arrhythmia did not respond to drug therapy and electric...
Go-kart Accident - Induced Isolated Sternal Body Fracture
Sternal fractures can occur in isolation or with concomitant injuries, such as deceleration injuries and blunt anterior chest trauma. They are seen in 3%-8% of cases of blunt chest trauma, the most common cause of which...
Microperimetry – A New Tool for Assessing Retinal Sensitivity in Macular Diseases
Introduction: Macular disease is the leading cause of low vision in the Western world. Drusen and pigmentary irregularities are common among the rural Northern Indian population. The disease process leads to loss of cent...
Determining the Frequency of Macroamylasemia in Patients with Hyperamylasemia using PEG Precipitation Method
ABSTRACT Introduction: The term acute abdomen refers to severe and sudden abdominal pain requiring urgent reorganisation. One of the factors causing acute abdomen is acute pancreatitis, which needs immediate measurements...
A Stratified Analysis of Clinical Manifestations and Different Diagnostic Methods of NeurocysticercosisSuspected Tamilian Population Residing in and Around Puducherry
Introduction: Human beings are accidental hosts for Cysticercus cellulosae showing varied clinical manifestations based on the site harbored by the parasitic cyst because of which disease profile remains unexplored at la...